Abstract

The following case of tuberculosis of the lymph nodes presents some phases in its clinical history which were to me quite novel, particularly the general alopecia and pruritus which during the first year of the disease were the patient's chief plague. Early in April, 1890, Dan. McA., Irish American, farmer, aged 21, fell under my observation and gave the following history: His father, mother, several brothers and sisters are all living and healthy. Of more distant relatives he knew but little, yet denied any rumor or knowledge of a tuberculous family record. He had been a very healthy and athletic young man, five feet nine inches in height, weight 185 pounds, light hair and complexion with bright blue eyes. For several years he had each autumn been engaged in feeding threshing machine. While employed in this very dusty work during the fall of 1888he began to cough without expectoration, noticed

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